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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88366 Genetic sequencing localization, each multiplex procedure CPT · Molecular Testing
Classification Test Molecular Testing Genetic Analysis (CMS RBCS)
First observed 2015
National scale 2,723 services ▲ 3.3% YoY · 1,135 beneficiaries (CY2024, Medicare FFS)
Medicare paid $230K · $84.45 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
2,144
FFS of Medicare
49%
Services YoY
+3.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,905 services

2,144 observed fee-for-service (55%) · ~1,761 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 88366 (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$710K
Named-group allowed amount
$136K
Named-group Medicare payments
$108K
Avg charge / svc
$331
Avg allowed / svc
$63
Avg payment / svc
$50
Average charge per group
$167 8 groups · avg submitted charge / service $420
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 88366 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 88366 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,240 $410,771 $331 premium 64.8%
2 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 637 $210,847 $331 premium 33.3% (847) 723-2210
3 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 135 $48,653 $360 premium 90.0% (248) 964-1187
4 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 51 $13,821 $271 premium 100.0% (214) 633-5555
5 PHYSICIANS FOOTCARE, LLC SUMTER NC PODIATRY 31 24 $10,080 $420 premium 42.1% (803) 773-7000
6 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 22 $7,282 $331 premium 1.1%
7 THE DULUTH CLINIC LTD DULUTH GA PHYSICIAN ASSISTANT 1082 20 $3,335 $167 premium 100.0% (218) 576-0680
8 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IL NURSE PRACTITIONER 4250 15 $4,965 $331 premium 0.8% (888) 484-3258

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →